ArticleCancer medicine2021
Perspectives, fears and expectations of patients with gynaecological cancers during the COVID-19 pandemic: A Pan-European study of the European Network of Gynaecological Cancer Advocacy Groups (ENGAGe).
Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 5 of them syntheses that pooled it.
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Who cites it
51 citing papers in PubMed, 5 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- The Impact of the COVID-19 Pandemic on Mental Health and Cognitive Function in Patients With Cancer: A Systematic Literature Review.Cancer reports (Hoboken, N.J.) · 2024Pooled it
- Physical and mental health outcomes of COVID-19 induced delay in oncological care: A systematic review.Frontiers in oncology · 2023Pooled it
- Counting the social, psychological, and economic costs of COVID-19 for cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Pooled it
- The psychosocial and emotional experiences of cancer patients during the COVID-19 pandemic: A systematic review.Seminars in oncology · 2022Pooled it
- Psychological Distress Among Cancer Patients During COVID-19 Pandemic in the World: A Systematic Review.Frontiers in psychology · 2021Pooled it
- Patients' Perspectives on Changes in Cancer Care During the COVID-19 Pandemic: Results of a Survey Among Patients with Gynecological Malignancies and Breast Cancer in Germany (NOGGO-S25/Expression XIII).Current oncology (Toronto, Ont.) · 2026Article
- The Relationship Between Social Media Use, Intolerance of Uncertainty, and Resilience with Anxiety and Depression Symptoms in Cancer Patients.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2025Article
- The Relationship Between Death Anxiety and COVID-19 Fear and Anxiety in Women With Breast Cancer.Omega · 2024Article
- Predicting psychological distress in advanced ovarian cancer patients during the COVID-19 pandemic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Patient care and access to clinical trials in gynaecological oncology: global implications of the early phase of the COVID-19 pandemic.Archives of gynecology and obstetrics · 2024Article
- Pre-Pandemic Predictivity of Anxious-Depressive Symptoms in Post-Surgical Traumatic Distress in Hysterectomy for Benign Disease and COVID-19 Outbreak: A Case-Control Study.Journal of clinical medicine · 2024Article
- Measuring reconceptualization and reprioritization during France's first COVID-19-related lockdown in women with and without a history of cancer: an adaptation of the SeiQol-DW and PGI.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Diagnosis and management of endometrial hyperplasia: A UK national audit of adherence to national guidance 2012-2020.PLoS medicine · 2024Article
- Fear, anxiety, and knowledge levels of women who underwent gynecologic surgery during the COVID-19 pandemic.Revista da Associacao Medica Brasileira (1992) · 2024Article
- Analysis of applying a patient safety taxonomy to patient and clinician-reported incident reports during the COVID-19 pandemic: a mixed methods study.BMC medical research methodology · 2023Article
- The Experience of COVID-19 in a Sample of Gynecological Cancer Patients Undergoing Chemotherapy: A Focus on the Psychological Implications.International journal of environmental research and public health · 2023Article
- Assessment of Cancer Patients' Mental Health during the Coronavirus Pandemic in Serbia.International journal of environmental research and public health · 2023Article
- A qualitative study exploring healthcare workers' lived experiences of the impacts of COVID-19 policies and guidelines on maternal and reproductive healthcare services in the United Kingdom.European journal of midwifery · 2023Article
- Stressors related to the COVID-19 pandemic and their association with distress, depressive, and anxiety symptoms in cancer out-patients.Frontiers in psychology · 2023Article
- The Prevalence and Analysis of Related Factors of Anxiety, Depression, and Quality of Life of Out-Patients in the Cancer Institute of a COVID-19 Referral Tertiary Hospital: One Year into the Pandemic.Acta medica Philippina · 2023Article
Corrections and comments
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Authors and funding
36 authors at 20 institutions in 15 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe impact of the COVID-19 pandemic on European gynaecological cancer patients under active treatment or follow-up has not been documented. We sought to capture the patient perceptions of the COVID-19 implications and the worldwide imposed treatment modifications.
methodsA patient survey was conducted in 16 European countries, using a new COVID-19-related questionnaire, developed by ENGAGe and the Hospital Anxiety & Depression Scale questionnaire (HADS). The survey was promoted by national patient advocacy groups and charitable organisations.
findingsWe collected 1388 forms; 592 online and 796 hard-copy (May, 2020). We excluded 137 due to missing data. Median patients' age was 55 years (range: 18-89), 54.7% had ovarian cancer and 15.5% were preoperative. Even though 73.2% of patients named cancer as a risk factor for COVID-19, only 17.5% were more afraid of COVID-19 than their cancer condition, with advanced age (>70 years) as the only significant risk factor for that. Overall, 71% were concerned about cancer progression if their treatment/follow-up was cancelled/postponed. Most patients (64%) had their care continued as planned, but 72.3% (n = 892) said that they received no information around overall COVID-19 infection rates of patients and staff, testing or measures taken in their treating hospital. Mean HADS Anxiety and Depression Scores were 8.8 (range: 5.3-12) and 8.1 (range: 3.8-13.4), respectively. Multivariate analysis identified high HADS-depression scores, having experienced modifications of care due to the pandemic and concern about not being able to visit their doctor as independent predictors of patients' anxiety.
interpretationGynaecological cancer patients expressed significant anxiety about progression of their disease due to modifications of care related to the COVID-19 pandemic and wished to pursue their treatment as planned despite the associated risks. Healthcare professionals should take this into consideration when making decisions that impact patients care in times of crisis and to develop initiatives to improve patients' communication and education.
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